Does organ donation impact on forensic outcomes? A review of coronial outcomes and criminal trial proceedings

Nunnink, Leo; Stobbs, Nigel; Wallace-Dixon, Chelsea; Carpenter, Belinda

doi:10.1016/j.jflm.2019.101860

Cited by 6 publications

(14 citation statements)

References 2 publications

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“… Abbreviations: DI = death investigators; ODO = organ donation organizations; ✓ = DI-ODO theme applies; ✗ = DI-ODO theme does not apply; V = national articles mention that the theme varies between jurisdictions; Empty = no information. a The national papers express both existence and lack of communication protocols (1,2,7,8). Articles based in California, Colorado, and Texas all express consistent and early communication (6,9 -11). b Includes national, California, Nevada, Colorado, and Texas papers (2,6,9,10,12).…”

Section: Resultsmentioning

confidence: 93%

“… c Includes national and Nevada papers (1,8,10). d Includes national and New York, Colorado, and California papers (1,8,10 -13). e Includes national and New York, Tennessee, New Jersey, Texas, Colorado, and San Diego County, California papers (2,8,11,12,14 -16).…”

Section: Resultsmentioning

confidence: 99%

“… d Includes national and New York, Colorado, and California papers (1,8,10 -13). e Includes national and New York, Tennessee, New Jersey, Texas, Colorado, and San Diego County, California papers (2,8,11,12,14 -16). f The national papers express both medical and legal DIs having authority of the final donation decision (2,17).…”

Section: Resultsmentioning

confidence: 99%

“… f The national papers express both medical and legal DIs having authority of the final donation decision (2,17). In Colorado, coroners have veto whereas in California, the pathologists do (10,11). g The national papers express that the DI may or may not consistently attend recovery (1,2,7,17).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Cullip¹,

Sarti²,

Weiss³

et al. 2022

Academic Forensic Pathology

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Introduction: Death investigators (DIs) such as coroners, medical examiners, and forensic pathologists play important and evolving roles in deceased organ donation. DIs communicate with organ donation organizations (ODOs) to gather case-specific information and release or restrict organs depending on the medicolegal requirements. This scoping review aims to identify the breadth of roles and decision-making processes that may facilitate or hinder deceased donation in DI cases. Methods: This study was conducted using a scoping literature review and subsequent thematic analysis. Results: Thirty-one eligible papers described 8 common themes with region-specific nuances. These include: 1) shared (ODO and DI) protocols for early communication around each case; 2) shared standards and education for death investigation practices related to organ donation; 3) DI support staff or teams to facilitate organ donation; 4) DI authority to order additional testing and imaging before organ recovery; 5) donation-specific legislation to enhance DI and/or ODO operations; 6) legally trained DI authority to veto medical decisions to proceed with organ donation; 7) DI attendance at organ recovery; and 8) surgeons recording specific DI evidence during organ recovery. Conclusion: These findings have cultural and resource-allocation implications and expose gaps in the international literature describing practices at the intersection of deceased organ donation and death investigation. A better understanding of the rationale and execution of various systems for DI and ODO cooperation may serve to advance both organ donation and death investigation.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Cullip¹,

Sarti²,

Weiss³

et al. 2022

Academic Forensic Pathology

View full text Add to dashboard Cite

show abstract

“…It was also concluded that organ donations had a limited impact on autopsy findings and court proceedings, and coronial findings or judicial outcomes were not significantly affected in those cases where organ harvesting was not carried out to preserve the forensic outcomes. 24 Another study by the same lead author also dived into literature reviews of 27 studies on the subject of the impact of organ donation on coronial processes and forensic investigation found that in favoring for forensic outcomes, organs are lost and not transplantable well as no study suggest that organ retrieval can significantly impact on the cause of death determination or judicial outcome for that matter. It was concluded that better forensic decision making and strategies would increase the availability of organs for transplantation.…”

Section: Non-maleficencementioning

confidence: 99%

Impacts of Forensic Outcomes on Cadaveric Organ Donations in Malaysia

Jalil

Ahmad

Isa

et al. 2022

IJETV

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In forensic medicine, there can be times when the dilemma of having to choose between harvesting organs from cadaveric donors versus the need to complete the forensic analysis to savor the equally important forensic outcomes becomes tricky as well cul de sac of one on another. The deliberation of the seemingly practical junction is of academic value and ethical considerations that need to be dissected upon. As such, the impacts of forensic outcomes on cadaveric organ donations in Malaysia through the lenses of (i) academic benefits of forensic outcomes, (ii) ethically justified considerations of the dilemma, and (iii) available data helpful in navigating through the two competing needs.

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What criteria underlie the commissioning of forensic autopsies and what conclusions can be drawn for forensic medical practice?

2022

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Zusammenfassung Hintergrund Die Entscheidung, ob in einem Todesermittlungsverfahren eine Obduktion veranlasst wird, basiert nicht auf einheitlichen Kriterien. Die Erfahrung zeigt, dass ähnliche Fallkonstellationen je nach SachbearbeiterIn zu unterschiedlichen Entscheidungen führen können. Um ein einheitlicheres Vorgehen rechtsmedizinisch unterstützen zu können, ist ein besseres Verständnis der Entscheidungsprozesse in den Ermittlungsbehörden notwendig. Ziel der Arbeit Die vorliegende Studie widmet sich primär den folgenden Fragen: Welche Faktoren liegen bei den Auftraggebern der Entscheidung über eine Obduktion zugrunde? Fühlen sich die Akteure ausreichend informiert, um fundierte Empfehlungen abzugeben bzw. Entscheidungen zu treffen? Im zweiten Schritt sollen Möglichkeiten abgeleitet werden, die Zusammenarbeit zwischen Ermittlungsbehörden und Rechtsmedizin zu verbessern. Methoden Insgesamt 58 StaatsanwältInnen und mit Todesermittlungsverfahren betraute PolizistInnen in Rheinland-Pfalz wurden im Frühjahr bzw. im Sommer 2021 mittels selbstentwickeltem Online-Fragebogen zu ihrer Vorgehensweise hinsichtlich der Empfehlung bzw. Beantragung einer Obduktion befragt. Es folgten die deskriptive Auswertung und Bewertung im Hinblick auf die Fragestellung. Ergebnisse Insgesamt konnten die Antworten von 24 StaatsanwältInnen und 34 PolizistInnen ausgewertet werden. Als wichtigstes Umfrageergebnis ist festzuhalten, dass bei StaatsanwältInnen und PolizistInnen Unsicherheiten im Hinblick auf Möglichkeiten und Grenzen gerichtlicher Obduktionen bestehen, insbesondere bei besonderen Fallkonstellationen (z. B. bei Organexplantation). Die Beantragung einer Obduktion fällt den Befragten jedoch grundsätzlich leicht; die Fallaufklärung steht im Vordergrund, während die Kostenfrage eine untergeordnete Rolle spielt. Diskussion Aus den Umfrageergebnissen lässt sich die Notwendigkeit eines intensivierten Austauschs mit den Auftraggebern in Form von anlassbezogenen Beratungen und allgemeinen Fortbildungen über Indikationen und Möglichkeiten rechtsmedizinischer Untersuchungen ableiten.

show abstract

Does organ donation impact on forensic outcomes? A review of coronial outcomes and criminal trial proceedings

Cited by 6 publications

References 2 publications

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Impacts of Forensic Outcomes on Cadaveric Organ Donations in Malaysia

What criteria underlie the commissioning of forensic autopsies and what conclusions can be drawn for forensic medical practice?

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